Paper on multimorbidity x surgery now launched in @Anaes_Journal Key messages 🍀1-in-2 patients undergoing major surgery have multimorbidity 🍀multimorbidity associated with higher mortality 🍀Current perioperative models not associated with improved outcomes for patients with multimorbidity Next steps 🚨Different strategies needed to address patients with multimorbidity 🚨 need for integrated care solutions using a health systems approach 🚨global relevance and impact

🚨@STARSurgUK - @EuroSurg #CASCADE 🚨 Very excited to share the first paper from study is now live! 🔗 doi.org/10.1111/anae.16220 This cohort study included >24,000 patients across 446 hospitals in 28 countries from Europe. First time @STARSurgUK delivering a large cohort study outside UK! First paper explores impact of #PCC on postoperative mortality in a cohort of patients undergoing major abdominal surgery! Thanks to all the collaborators, hospital & national leads for all their support And fantastic advisory group for supporting the journey! @aneelbhangu @ewenharrison @BruceBiccard @abdocherty79 @janetmartinwho @elboghdadly @mkphull @RonelleMouton @DrJamesGlasbey @kennethmclean92 @Neil_J_Smart @susanmoug @pinkney_t @TobyRichardsUCL Thanks to @unibirmingham @unibirm_MDS @UoB_IAHR @bicops for support with database Thanks to @Anaes_Journal for publishing and sharing this paper! Next steps - few planned papers coming up around > multimorbidity in major surgery > smoking cessation > perioperative anaemia Looking forward to next steps ahead!